Para-ileostomy hernia: failure of a local repair technique.

Different techniques of local repair of para-ileostomy herniae have been recommended by a number of authors, but without report of long-term outcome. Two patients presenting electively with symptomatic para-ileostomy herniae are reported. A local repair technique was used in each case because of severe (coexisting) medical disease, but both herniae recurred within 2 years. It is considered that local repair without stomal transposition cannot be recommended. The literature is reviewed.